title: Emergency excision of cardiac myxoma and endovascular coiling of intracranial aneurysm after cerebral infarction.
abstract: Cardiac myxoma is the most common primary tumor of the heart, located mainly in the left atrium. Cerebral embolization or intracranial aneurysm formation as a consequence of left atrial myxomas has been well documented, whereas myxoma embolization causing the combination of cerebral infarction and intracranial myxomatous aneurysm is rare. We report herein, a 67-year-old female with a cardiac myxoma who experienced a left hemispheric embolic ischemic stroke and in addition was found to have right internal carotid artery aneurysm. The patient underwent emergency surgical excision of left atrial myxoma 2 hours after the stroke onset and endovascular coiling of the aneurysm a week later. Although the timing of cardiac surgery is controversial in patients who have had recent ischemic stroke, we recommend immediate resection of cardiac myxoma, if feasible, and early endovascular treatment of associated intracranial myxomatous aneurysms.
authors.affiliation: Neurosciences Department, King Faisal Specialist Hospital and Research Center, Jeddah 21499, Saudi Arabia.
authors.forename: Youssef
authors.initials: Y
authors.lastname: Al-Said
authors.forename: Heyam
authors.initials: H
authors.lastname: Al-Rached
authors.forename: Saleh
authors.initials: S
authors.lastname: Baeesa
authors.forename: Khalil
authors.initials: K
authors.lastname: Kurdi
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Zabani
authors.forename: Ahmed
authors.initials: A
authors.lastname: Hassan